Organization
YOUNGMAN VISION INC
Active
Parent organization
YOUNGMAN VISION INC
Other names
State Vision Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUNGMAN VISION INC
Authorized official
LORI A YOUNGMAN OD (PRESIDENT)
(360) 693-2300
Entity
Organization
Contact information
Practice address
5411 MILL PLAIN BLVD, SUITE 28, VANCOUVER, WA 98661
(360) 693-2300
(360) 693-2303
Mailing address
4535 NW ASPEN ST, CAMAS, WA 98607-8302
(360) 693-2300
(360) 693-2303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003133
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017689
—
WA
Enumeration date
08/06/2007
Last updated
08/06/2007
Update your record
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